
아동간호학 실습 비호지킨 림프종 NHL 케이스
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아동간호학 실습 비호지킨 림프종 NHL 케이스
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2024.12.13
문서 내 토픽
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1. Non-Hodgkin's LymphomaNon-Hodgkin's Lymphoma는 주로 노년층에게 나타나고, 발생 부위는 림프절과 주변 장기이다. 다발성으로 발생하고, 림프절 외 침범이 빈번하고, RS cell의 발생이 드물다. 반면 Hodkin's는 청년층에 주로 나타나고, 림프절 부위에 발생하며, 단발성 결절이 나타난다. 또한 림프절 외 침범이 드물게 나타나고, RS cell이 대부분 있다.
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2. 관해/도입 (remission/induction)관해/도입 (remission/induction)은 증상이 일시적이거나 영속적으로 감소한 상태를 의미한다. 즉 환자의 주 호소인 속쓰림이나 서혜부 통증, 붓기 등이 일시적으로 감소한 것이다.
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3. 항암제 부작용 교육미정이 교육: 항암제의 효과와 부작용에 대해 설명하고, 병태생리에 대해 쉽게 풀어 설명한다. 항암제 종류와 필요성을 설명하고, 모발 손실, 점막 손상, 백혈구 감소 등의 부작용을 충분히 설명한다. 미정이 부모님 교육: 비호지킨 림프종에 대해 이해하기 쉽게 설명하고, 수술을 통한 완치 가능성을 알려준다. 미정이의 정서적 지지가 중요하다는 것을 교육한다.
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4. 위장관운동 기능장애 간호대상자의 침상을 화장실과 가까운 곳으로 옮겨주고, portable basket을 제공하여 구토와 구역질에 대응할 수 있도록 한다. 대상자와 라포를 형성하여 올바른 영양소를 섭취할 수 있도록 돕고, 우울감을 낮추기 위해 취미활동을 할 수 있도록 격려한다. 대상자의 가족에게 운동의 필요성을 교육하고, 정서적 지지를 제공한다.
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5. 신체상 변화와 자존감 저하 간호대상자와 라포를 형성하여 우울감 NRS를 꾸준히 측정하고, 질병과 항암치료에 대한 교육을 실시한다. 대상자의 가족에게 정서적 지지를 교육하고, 약물 복용의 중요성과 올바른 방법을 교육한다. 정서적 지지를 제공한다.
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1. Non-Hodgkin's LymphomaNon-Hodgkin's lymphoma is a type of cancer that originates in the lymphatic system. It is a complex and challenging disease that requires comprehensive and personalized treatment approaches. As an oncology nurse, I believe it is crucial to provide patients with a thorough understanding of the disease, its prognosis, and the available treatment options. This knowledge empowers patients to make informed decisions and actively participate in their care. Additionally, offering emotional support and addressing the psychosocial needs of patients and their families is essential. By fostering a collaborative and compassionate environment, nurses can help patients navigate the challenges of this disease and improve their overall quality of life.
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2. 관해/도입 (remission/induction)The concepts of remission and induction are critical in the management of Non-Hodgkin's lymphoma. Remission refers to the period when the cancer is under control and the patient's symptoms have significantly improved or disappeared. Induction, on the other hand, is the initial phase of treatment aimed at achieving remission. As an oncology nurse, I recognize the importance of educating patients and their families about these terms and their significance. It is essential to explain the goals of induction therapy, the potential side effects, and the importance of closely monitoring the patient's response to treatment. By fostering a clear understanding of these concepts, nurses can empower patients to actively participate in their care, manage their expectations, and make informed decisions throughout the treatment process. Ultimately, this collaborative approach can lead to better outcomes and improved quality of life for patients.
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3. 항암제 부작용 교육Educating patients about the potential side effects of chemotherapy is a critical aspect of oncology nursing. Patients undergoing treatment for Non-Hodgkin's lymphoma often experience a range of side effects, such as nausea, fatigue, hair loss, and increased risk of infection. As a nurse, I believe it is essential to provide comprehensive and personalized education to patients and their families. This includes explaining the specific side effects associated with the prescribed chemotherapy regimen, strategies for managing these side effects, and the importance of reporting any concerning symptoms promptly. By empowering patients with this knowledge, nurses can help them better prepare for and cope with the challenges of treatment, ultimately improving their overall well-being and quality of life. Additionally, close monitoring and proactive management of side effects can help prevent complications and ensure the patient's safety throughout the treatment process.
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4. 위장관운동 기능장애 간호Gastrointestinal (GI) motility disorders can be a significant challenge for patients with Non-Hodgkin's lymphoma, particularly during and after treatment. As an oncology nurse, I recognize the importance of addressing these issues and providing comprehensive nursing care. This may involve assessing the patient's GI symptoms, such as nausea, vomiting, constipation, or diarrhea, and implementing appropriate interventions. Nurses can collaborate with the multidisciplinary team, including dietitians and gastroenterologists, to develop a personalized plan of care that addresses the underlying causes of the GI motility dysfunction. This may include dietary modifications, medication management, and the use of supportive therapies, such as probiotics or laxatives. By addressing GI issues proactively, nurses can help alleviate patient discomfort, prevent complications, and improve the overall quality of life for individuals with Non-Hodgkin's lymphoma.
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5. 신체상 변화와 자존감 저하 간호The physical and emotional changes experienced by patients with Non-Hodgkin's lymphoma can have a significant impact on their self-esteem and body image. As an oncology nurse, I believe it is crucial to address these concerns and provide holistic support to patients. This may involve assessing the patient's emotional well-being, providing counseling or referrals to mental health professionals, and exploring strategies to help the patient cope with changes in their physical appearance, such as hair loss or weight fluctuations. Nurses can also collaborate with the multidisciplinary team to offer resources and interventions, such as support groups, art therapy, or cosmetic services, to help patients regain a sense of control and maintain their self-confidence. By addressing the psychosocial needs of patients, nurses can play a vital role in promoting overall well-being and enhancing the patient's quality of life throughout the treatment journey.
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